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NPI Code Detail

MEDICARE: DR. NIKOLAS V. CHUGAY SR. D.O.

MEDICARE:  DR. NIKOLAS V. CHUGAY SR. D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YS0123XFacial Plastic Surgery Physician20A3830CA
2208200000XPlastic Surgery Physician20A3830CA

General Provider Information

NPI Number : 1376878470
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NIKOLAS V. CHUGAY SR. D.O.
Provider Business Mailing Address
First Line : 4210 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2802
Country : US
Telephone Number : 562-595-8507
Fax Number : 562-988-9220
Provider Business Practice Location Address
First Line : 4210 ATLANTIC AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2802
Country : US
Telephone Number : 562-595-8507
Fax Number : 562-988-9220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2009
Last Update Date : 10/07/2009

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Directions to “ DR. NIKOLAS V. CHUGAY SR. D.O.” Practice Location

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